Options for the Delivery of Intermittent Preventive Treatment for Malaria to Children A Community Randomised Trial 英文参考文献.docVIP
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Options for the Delivery of Intermittent Preventive Treatment for Malaria to Children A Community Randomised Trial 英文参考文献
OptionsfortheDeliveryofIntermittentPreventive
TreatmentforMalariatoChildren:ACommunity
RandomisedTrial
MargaretKweku1,3,JayneWebster1,MartinAdjuik2,SamuelAbudey3,BrianGreenwood1 ,Daniel
Chandramohan1*
1LondonSchoolofHygieneandTropicalMedicine,London,UnitedKingdom,2NavrongoHealthResearchCentre,Navrongo,Ghana,3GhanaHealthService,Hoehoe,
Ghana
Abstract
Background: Intermittent preventive treatment for malaria in children (IPTc) is a promising new intervention for the
preventionofmalariabutitsdeliveryisachallenge.WehaveevaluatedthecoverageofIPTcthatcanbeachievedbytwo
differentdeliverysystemsinGhana.
Methods:IPTcwasdeliveredbyvolunteersinsixvillages(community-basedarm)andbyhealthworkersathealthcentresor
at ExpandedProgramme on Immunisationoutreach clinics(facility based) in anothersix communities. The villages were
selectedrandomlyanddrugswereadministeredinMay,June,SeptemberandOctober2006.Thefirstdoseofathree-dose
regimen of amodiaquine plus sulphadoxine-pyrimethamine was administered under supervision to 3–59 month-old
children(n=964)inthe12studyvillages;dosesfordays2and3weregiventoparents/guardianstoadministerathome.
Results:Theproportionofchildrenwhoreceivedatleastthefirstdoseof3ormorecoursesofIPTcwasslightlyhigherin
thecommunitybasedarm(90.5%vs86.6%;p=0.059).Completionofthethreedoseregimenwashighandsimilarwith
bothdeliverysystems(91.6%and91.7%respectively).
Conclusion:SeasonalIPTcdeliveredthroughcommunity-basedorfacility-basedsystemscanachieveahighcoveragerate
withthesupportandsupervisionofthedistricthealthmanagementteam.However,inordertomaximisetheimpactof
IPTc,bothdeliverysystemsmaybeneededinsomesettings.
TrialRegistration:ClinicalTNCCitation: Kweku M, Webster J, Adjuik M, Abudey S, Greenwood B, et al. (2009) Options for the Delivery of Intermittent Preventive Treatment for Malaria to
Children:ACommunityRandomisedTrial.PLoSONE4(9):e7256.doi:10.1371/journal.pone.0007256
Editor:AricGregson,UniversityofCaliforniaLosAngeles,UnitedStatesofAmerica
ReceivedFeb
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